HEALTH CARE ADVISORY: SUPPORTING THE CHIEF COMPLIANCE OFFICER
How confident are you that your compliance program would stand up to regulatory scrutiny today? In health care, chief compliance officers (CCOs) and those responsible for compliance oversight face increasing pressure to manage shifting regulatory requirements while supporting care delivery, financial performance and strategic priorities. As expectations from boards, regulators and executive leadership continue to rise, compliance has become a critical enterprise function, requiring more oversight, informed judgment and well-documented, defensible processes.
Weaver helps bring clarity to these demands. We work with health care organizations, CCOs, compliance leaders and organizations seeking to strengthen or establish their compliance functions, providing practical, independent insight that improves risk visibility and helps address areas of exposure across the organization.
THE HEALTH CARE COMPLIANCE LANDSCAPE
In health care, compliance is embedded in how care is delivered, documented and paid for. As a result, compliance oversight touches clinical operations, revenue cycle activities, physician relationships, data management and technology decisions often at the same time.
Health care compliance leaders operate in an environment shaped by regulatory scrutiny, financial pressure and evolving care delivery models.
Key challenges include:
⊲ Regulatory scrutiny and audit exposure
⊲ Revenue cycle and financial exposure
⊲ Physician arrangements and referral relationships
⊲ Data privacy, cybersecurity and digital health
⊲ Growth, transformation and resource constraints
These dynamics continue to expand the scope of compliance oversight and the expectations placed on individuals responsible for managing compliance risk in their organization.
THE EXPANDING ROLE OF THE CHIEF COMPLIANCE OFFICER IN HEALTH CARE
Today’s CCO in health care oversees compliance programs that span investigations, audit response, monitoring and reporting, and provides guidance to executive leadership and boards across clinical, financial and operational areas. As their role expands, they are expected to balance regulatory requirements with organizational growth, transformation and operational priorities that directly affect care delivery and reimbursement. Expectations for transparency and accountability are high, and resource constraints, combined with the complexity introduced by digital transformation and new care models, further compound risk exposure and execution challenges.
KEY CONTACTS:
JEROD HOLLOWAY, CHIAP, CHC, CIA, CFE, CICA
MANAGING DIRECTOR, ADVISORY – GOVERNANCE, RISK AND COMPLIANCE SERVICES O: 337-362-1541
JEROD.HOLLOWAY@WEAVER.COM
ANNA STEVENS, CPA, CHFP
PARTNER-IN-CHARGE HEALTH CARE INDUSTRY SERVICES
O: 832-320-3494
ANNA.STEVENS@WEAVER.COM
OUR CAPABILITIES
Weaver supports health care compliance leaders and those responsible for compliance oversight throughout the full compliance lifecycle. Our professionals help align compliance activities with care delivery, financial operations and governance priorities.
Our capabilities include:
⊲ Compliance program design and evaluation: Risk-based assessments, policy development, monitoring efforts and training initiatives designed for complex health care operating environments
⊲ Regulatory response and investigations: Support for regulatory audits, investigations and enforcement actions with independent analysis and documentation
⊲ Revenue integrity and risk: Coding, billing and physician arrangement reviews to identify exposure areas and support compliant reimbursement practices
⊲ Enterprise risk and governance integration: Enterprise risk management (ERM) frameworks and reporting designed to support board oversight and cross-functional visibility into compliance risk
⊲ Emerging risks, technology and strategic initiatives: Cybersecurity, artificial intelligence (AI) governance, data privacy and digital health considerations, including compliance implications related to transactions, affiliations and evolving care models
WHY WEAVER?
Health care compliance is complex. CCOs and compliance leaders juggle many challenges in a rapidly changing, highly regulated industry while keeping patient care delivery top of mind. Weaver helps health care organizations navigate these demands with clear guidance and practical judgment, grounded in deep regulatory knowledge and an integrated advisory approach across compliance, audit, finance and technology. Whether a CCO is in place or a compliance function is still taking shape, we provide structured, independent support that strengthens programs, addresses gaps and helps organizations make defensible, well-informed decisions.